Premises Information


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Name

NORWICH ROAD GROUP HOME

Address

1006 NORWICH RD

City/State/ZIP

CHARLOTTE

28227

Premise Type

43 - Residential Care

County

Mecklenburg

Inspection Date

10/17/2017

Final Score @ Grade

General Comments

No Points Deducted: 4. Observed debris under sink in kitchen. Acceptable storage facilities include residential kitchen cabinets, which should be kept clean and free of vermin. 15A NCAC 18A .1618 (i). 11. Observed linoleum coming up at female bathroom entrance at the end of the hallway. Observed build up in grout around tub in male bathroom. Observed split in floor in Kitchen. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
8	2	TOILET: HANDWASHING: LAUNDRY AND BATHING FACILITIES: Toilet, lavatory and bathing facilities adequate 4; fixtures in good repair and kept clean 2; soap and towels provided 2 (.1610)	No	No	No	Observed black build up on tile in bath tub in female bathroom at the end of the hall. Observed build up on shower head in female bathroom at the end of the hall. Observed build up on shower head in male bathroom. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).
9	2	BEDS: LINEN: FURNITURE: All furniture, mattresses, linen, drapes, blinds and similar items in good repair and clean 2; bed linen changed as required 2; clean and soiled linens properly stored and handled 2 (.1617)	No	No	No	Observed black build up on blinds in female bathroom at the end of the hall. Observed window seals chipping and debris accumulating throughout. Observed torn mattress in Cindy bedroom and missing handles on dresser near window. Observed damaged cushion on chair in TT bedroom and pillow stain. Observed damaged rocking chair in Gabriel room. Observed build up on shelving in closet in male bathroom. Observed couch cushions damaged in Living Room. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).
12	1	WALLS AND CEILINGS: In good repair 1; kept clean 2 (.1608)	No	No	No	Observed wall damage in female bathroom on the right and damaged tile behind toilet. Observed wall damage in TT bedroom. Observed wall damage in Gabriel bedroom, build up on the back side of the door and build up baseboard tile at entrance. Observed wall damage behind toilet, and wall staining in male bathroom. Observed wall damage behind table and under back window in kitchen and in Living Room. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.
13	2	LIGHTING AND VENTILATION: Windows and fixtures in good repair 1; kept clean 2 (.1609)	No	No	No	Observed build up on vents in hallway. Ventilation equipment shall be kept clean and in good repair. 15A NCAC 18A .1609 (b).